Dementia in ‘super-aged’ Japan: Challenges and Solutions

Leroi, Iracema; Kitagawa, Keiko; Vatter, Sabina; Sugihara, Taro

doi:10.2217/nmt-2018-0007

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…The included studies are spread globally with the majority from Japan and Spain. It could be speculated that Japan has a high life expectancy for years [ 85 , 86 ], possibly leading to a stronger research focus on the elderly. However, the wide range of countries illustrates that the topic itself seems to be of worldwide interest.…”

Section: Discussionmentioning

confidence: 99%

Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review

Javorszky,

Palli,

Domkar

et al. 2024

BMC Geriatr

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Background Dysphagia affects about 40% of patients admitted to acute geriatric wards, as it is closely associated with diseases that rise in prevalence with advancing age, such as stroke, Parkinson’s disease, and dementia. Malnutrition is a highly associated predictive factor of dysphagia as well as one of the most common symptoms caused by dysphagia. Thus, the two conditions may exist simultaneously but also influence each other negatively and quickly cause functional decline especially in older adults. The purpose of this review was to determine whether institutions have established a protocol combining screenings for dysphagia and malnutrition on a global scale. If combined screening protocols have been implemented, the respective derived measures will be reported. Methods A scoping review was conducted. A systematic database search was carried out in January and February 2024. Studies were included that examined adult hospitalized patients who were systematically screened for dysphagia and malnutrition. The results were managed through the review software tool Covidence. The screening of titles and abstracts was handled independently by two reviewers; conflicts were discussed and resolved by consensus between three authors. This procedure was retained for full-text analysis and extraction. The extraction template was piloted and revised following feedback prior to extraction, which was carried out in February 2024. Results A total of 2014 studies were found, 1075 of which were included for abstract screening, 80 for full text screening. In the end, 27 studies were extracted and reported following the reporting guideline PRISMA with the extension for Scoping Reviews. Conclusion Most of the studies considered the prevalence and association of dysphagia and malnutrition with varying outcomes such as nutritional status, pneumonia, oral nutrition, and swallowing function. Only two studies had implemented multi-professional nutrition teams.

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Section: Discussionmentioning

confidence: 99%

Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review

Javorszky,

Palli,

Domkar

et al. 2024

BMC Geriatr

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“…Japan is one of the countries most affected by aging in the world. According to the demographic statistics report released by the Ministry of Internal Affairs of Japan in 2019, the elderly population there had reached 35 million, with an aging rate as high as 28.4% [1]. According to the calculation of the Cabinet Office, the aging rate will exceed 32% in 2035.…”

Section: Background Analysis Of "Super Aging" In Japanmentioning

confidence: 99%

Analysis of the Smart Medical Service Model in Super-Aged Society-UR Agency as an Example

Zhang

2022

Journal of Healthcare Engineering

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Urban Renaissance (UR) Agency in Japan is one of the world’s largest public housing institutions. When faced with the serious aging problems in Japan, the Japanese implemented innovative reform, with the smart medical and pension service launched according to the characteristics of resident population and their variation trends. As it well mastered the actual needs of residents by establishing the intelligent medical system, the occupancy rate was increased. Meanwhile, the problem of inadequate local medical resources was solved, with the satisfaction of residents as well as the cultural exchange and integration within communities ameliorated, which hence realized the sustainable development of communities. In this study, the smart medical experience of Urban Renaissance Agency in Japan was explored in the hope of providing enlightenment for the development of smart communities in China. Relevant Chinese enterprises can draw lessons from the experience of community services in Japan, and via the cooperation among industries, governments, and universities, they can collaborate with universities, scientific research institutions, high-tech enterprises, district governments, and grassroots communities to give full play to the advantages of the platform and improve service quality.

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“…The number of persons with dementia has been increasing rapidly worldwide in recent years, and has become a global issue associated with far-reaching medical and financial ramifications [1][2][3][4][5]. Although the increasingly elderly nature of the world's population provides the foundation for this trend, other factors include the promotion of government policies [2,6,7], increased clinical awareness [3], and drug treatment guidelines [8,9].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of and risk factors for adverse events in Alzheimer’s patients receiving anti-dementia drugs in at-home care

et al. 2020

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The objective of this study was to clarify the types and prevalence of, and the risk factors for, the adverse events that occur in patients receiving anti-dementia drugs. Methods A questionnaire survey was conducted. The respondents were pharmacists who were dispensing anti-dementia drugs. The pharmacists responded to questions about patients who were receiving anti-dementia drugs delivered to them at home by the pharmacists. The survey questions included questions about whether or not the patients experienced adverse reactions to the drugs, about the patients' background characteristics, about the numbers of drugs the patients were taking when the pharmacists first visited the patients at home, and about the pharmacists' assessments of the appropriateness of the use of the anti-dementia drugs. Results Data were collected on 3712 patients from 1673 pharmacies in a nationwide survey. Antidementia drugs had been prescribed to 863 of these patients; and 801 (92.8%) of these 863 patients were 75 years of age or older, and. confirmed adverse events occurred in 170 (21%) of these 863 patients. The most common adverse event was excitation/anxiety, at 45.1%. A multivariate analysis found that polypharmacy (10 or more types of drugs per day) (P = 0.030), inappropriate use (P = 0.002), and irregular medication use (P = 0.034) were risk factors.

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Dementia in ‘super-aged’ Japan: Challenges and Solutions

Cited by 8 publications

References 27 publications

Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review

Combined systematic screening for malnutrition and dysphagia in hospitalized older adults: a scoping review

Analysis of the Smart Medical Service Model in Super-Aged Society-UR Agency as an Example

Prevalence of and risk factors for adverse events in Alzheimer’s patients receiving anti-dementia drugs in at-home care

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